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NOTICE OF RESTRICTION (FU_E S E l���V ') I
<br />� 1
<br />and Notice of Right to Appeal
<br />DATE: o6jC1,6C TIME: )3S6 CASE #F: is— mluy
<br />LOCATION (PARK/OPEN SPACE):&JRMX, �W P"A
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1,005(:0, you are hereby
<br />notified that you are .prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />❑ rr
<br />The. basis for this Notice of Restriction of Use is that on OF, c?i , you violated Section %• C37F�``V, of the Park
<br />and Open Space Rules, and/or Sectiona2-c rq of the Eugene Code, 1971, and/or ORS . To wit, you:
<br />&.1czr-- Ac" f/f[, "%l
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on C)�!eC44fS , and shall remain in effect until 09 ►9 ri
<br />If you enter in or use any City of Eugene park, open space or facility during the cffcctivc period of this Notice, you may be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />informal hcaring must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive of weekends) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice. of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />< ,uro+ter ve R
<br />(Signature of person issuing/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />(Signature of person being issued the notice)
<br />Whitc Copy: Public Works Green Copy: File Yellow Copy*rt Cupy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04iO3
<br />Name: Last first Middle
<br />I}OR:
<br />Race/sex:
<br />aRcs.
<br />Address: City
<br />State
<br />Zip
<br />Res. Phone:
<br />Work Phone:
<br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1,005(:0, you are hereby
<br />notified that you are .prohibited from (check box):
<br />Entering in or using all City of Eugene parks, open spaces or facilities.
<br />❑ rr
<br />The. basis for this Notice of Restriction of Use is that on OF, c?i , you violated Section %• C37F�``V, of the Park
<br />and Open Space Rules, and/or Sectiona2-c rq of the Eugene Code, 1971, and/or ORS . To wit, you:
<br />&.1czr-- Ac" f/f[, "%l
<br />(Description of the violation.)
<br />This restriction of use is effective beginning on C)�!eC44fS , and shall remain in effect until 09 ►9 ri
<br />If you enter in or use any City of Eugene park, open space or facility during the cffcctivc period of this Notice, you may be
<br />arrested and charged with criminal trespass in the second degree.
<br />Pursuant to Park and Open Space Rule R-1.074 you are entitled to an informal hearing to contest this Notice. A request for an
<br />informal hcaring must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director")
<br />within 48 hours (exclusive of weekends) ofreceipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR
<br />97402.
<br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than
<br />72 hours (exclusive of weekends) of receipt of the request for hearing. At the informal hearing the Division Director will only
<br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the
<br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing.
<br />This Notice shall remain in effect pending any requested hearing.
<br />This Notice. of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by:
<br />< ,uro+ter ve R
<br />(Signature of person issuing/delivering notice)
<br />I hereby acknowledge receipt of the above Notice on the date and time indicated above.
<br />(Signature of person being issued the notice)
<br />Whitc Copy: Public Works Green Copy: File Yellow Copy*rt Cupy Pink Copy: Recipient Gold Copy: Officer Appeal notice Rev. 04iO3
<br />
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